Effectiveness of a Vaccination Program in the Community ObGyn Setting

社区妇产科疫苗接种计划的有效性

• 批准号: 7583163
• 负责人: Geeta K. Swamy
• 金额: $ 22.55万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2010-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7583163
• 关键词: Effectiveness; Vaccination; Program; Community; ObGyn

DESCRIPTION (provided by applicant): Although most adults realize the significance of immunizations for infant and child health, many do not recognize that vaccines offer a safe, cost-effective way to prevent morbidity and mortality among adolescents and adults. Nearly 45,000 US adults die each year from vaccine preventable diseases. The Institute of Medicine has called for the development of innovative strategies to improve vaccine coverage among adolescents and adults. Obstetrician-Gynecologists (Ob/Gyns) are uniquely positioned to immunize women of all ages against vaccine-preventable diseases. They are often the first point of contact for young women seeking care for reproductive health. Ob/Gyns function as primary care physicians, providing ? of all medical visits to women aged 17- 21 years. However, many Ob/Gyns do not routinely assess immunization status or administer vaccines in their offices. Commonly noted obstacles to providing vaccinations include cost/inadequate reimbursement, beliefs about their role in primary care, inadequate vaccine handling capability, lack of vaccine information, and safety/liability concerns in pregnancy. Our primary objective is to conduct a clinic-based study to develop and assess the effectiveness of a vaccination program for adolescent and adult women in the community Ob/Gyn setting. We propose to evaluate 4 Ob/Gyn offices in the Raleigh-Durham, NC area through in-depth, structured interviews of Ob/Gyn providers and office staff. In addition to details on current vaccine practices, medical record documentation, and encounter coding reimbursement, personnel will be queried on attitudes about vaccination, perceived barriers to an Ob/Gyn-based program, and ideas on overcoming such barriers. Findings will be used to design a program for adolescent and adult women, tailored for implementation in 2 of the 4 Ob/Gyn offices. Limited to vaccines for human papillomavirus and influenza & pertussis in pregnancy/postpartum, the program will cover a 12-month period, including 1 influenza season. Effectiveness of the intervention will be determined by pre- and post-program vaccination rates, program satisfaction, and willingness to continue the program. Detailed recording of all development and implementation strategies will allow for direct and immediate quantification of the resources and financial support required for vaccine program development and performance.

描述（由申请人提供）： 尽管大多数成年人意识到免疫对婴儿和儿童健康的重要性，但许多人并不认识到疫苗为预防青少年和成人的发病率和死亡率提供了一种安全，成本效益的方式。每年有近45,000名美国成年人死于可预防疾病的疫苗。医学研究所呼吁制定创新策略，以改善青少年和成人的疫苗覆盖范围。产科医生（OB/Gyns）的唯一位置可以使各个年龄段的妇女免疫可预防疫苗的疾病。它们通常是寻求生殖健康护理的年轻妇女的第一个接触点。 ob/gyns充当初级保健医生，提供？在所有17至21岁妇女的医疗访问中。但是，许多OB/GYNS不会常规评估免疫状况或在其办公室中管理疫苗。通常注意到提供疫苗接种的障碍包括成本/报销不足，对其在初级保健中的作用的信念，疫苗处理能力不足，缺乏疫苗信息以及怀孕的安全/责任问题。我们的主要目标是进行基于诊所的研究，以开发和评估针对青少年和成年女性在社区OB/GYN环境中的疫苗接种计划的有效性。我们建议通过对OB/GYN提供商和办公室工作人员进行深入的结构化访谈来评估北卡罗来纳州罗利·杜勒姆（Raleigh-Durham）地区的4个OB/GYN办事处。除了有关当前疫苗实践，病历文档和遭遇编码补偿的详细信息外，人员还将在有关疫苗接种的态度，对基于OB/GYN的计划的障碍以及克服此类障碍的想法上查询人员。调查结果将用于设计针对青少年和成年女性的计划，该计划是在4个OB/GYN办公室中的2个中量身定制的。该计划仅限于怀孕/产后的人类乳头瘤病毒和流感和百日咳的疫苗，该计划将涵盖一个12个月的时间，包括1个流感季节。干预的有效性将取决于程序前和程序后疫苗接种率，计划满意度以及继续该计划的意愿。所有开发和实施策略的详细记录将允许直接和立即量化疫苗计划开发和绩效所需的资源和财务支持。